Your actions – or lack thereof – can affect the outcomes of some of Death Stranding’s NPCs, said creator Hideo Kojima.
Addressing fans at the Garage Museum of Modern Art in Moscow, Hideo Kojima revealed that the fate of one particular sick character lies purely on the player, and what you choose to do, or not do, will affect their outcome.
“We have a character who lives deep underground. He is sick and needs medicine, and Sam can deliver it,” Kojima told the crowd (thanks wccftech via Reddit). “Since this happens at the beginning of the story, this is a must. After completing this quest, the player himself chooses the following actions: you can constantly go to the old man and carry medicine; you can deliver other items; You can listen to his stories from the past.